DAIR03
PAID OF LA QUUIiNTA
4 A P R 12 1994
FEE $35.00 13YUILDI `9 Aiffy DEPT
CITY OF LA QUINTA �f-�z
ND,s;/
78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253
HOME OCCUPATION PERMIT
Read each condition listed on the attachment to this form to see if
the proposed activity can comply with the City's Home Occupation
Regulations.
BUSINESS NAME 1,04nv( JUiOty yis1r,boTr
PROPERTY OWNER Lain n � o
PROPERTY ADDRESS Sc/-y2I otScv
MAILING ADDRESS --r
TYPE OF RESIDENCE Ingle mult%iple,
TYPE OF BUSINESS i ,� v e00/-Prs
BRIEF DESCRIPTION OF HOW THE BUSINESS
0 %;&t rti _5;n -i4/ 4v s- Q -3 rx. )
NUMBER OF PERSONS INVOLVEV IN BUSIIE
LIST NAME OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME
(EXAMPLE, "BEDROOM -125 S.F.")
bil /home, etc.)
/s7<< fJ✓�j^
WI" OPERATE
�l
DESCRIPTION OF MACHINERY 11EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION /V& /V�-t
I HAVE READ, UNDERSTAND, A D AGREE WITH THE CONDITIONS BY WHICH A
HOME OCCUPATIO IS ALLOWE (CONDITIONS ATTACHED).
APPLICART SIGNATURE o — DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR AGENT IS REQUIRED.
OWNER/AGENT SIGNATURE ,. DATE-
IMPORTANT:,i,FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR
DENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH CONDITIONS
LISTED ON THE ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF
PERMIT.
B-it--n--and Safety Department
APPROVED, DENIED CONDITIONS ATTACHED